Cap-assisted ERCP in Surgically Altered Anatomy / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 344-349, 2010.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-18226
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND/AIMS:
Endoscopic retrograde cholangiopancreatography (ERCP) is a difficult procedure to perform on patients who have undergone a Billroth II gastrectomy, Whipple's operation or Roux-en-Y gastrobypass surgery. Our study was designed to evaluate the clinical usefulness of cap-assisted ERCP for beginner endoscopists in cases of surgically altered anatomy.METHODS:
From April 2008 to March 2010, 16 patients with biliary diseases and who had previously undergone abdominal surgery such as Billroth II gastrectomy or Roux-en-Y operation were analyzed. A single endoscopist performed all the procedures using a cap-assisted gastroscope, after ERCP training.RESULTS:
Cap-assisted ERCP was attempted in 24 sessions of 16 patients. Afferent loop intubation and selective bile duct cannulation was successfully achieved in 19 sessions (79.1%). Among the patients who had undergone a Billroth II gastrectomy, 19 out of 20 sessions were successfully conducted. Only 4 patients who had undergone a previous Roux-en-Y operation failed afferent loop intubation. Duodenal free wall perforation developed in one case. There were no cases of mortality.CONCLUSIONS:
Therapeutic cap-assisted ERCP was useful in patients who had previously undergone a Billroth II gastrectomy and this may be helpful for inexperienced endoscopists.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ductos Biliares
/
Anastomose em-Y de Roux
/
Cateterismo
/
Gastroenterostomia
/
Colangiopancreatografia Retrógrada Endoscópica
/
Gastroscópios
/
Gastrectomia
/
Intubação
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
2010
Tipo de documento:
Artigo